In this post in The Hill’s “Congress Blog,” Eric Bond, managing editor of Bread for the World — a Christian anti-hunger organization — examines the role of PEPFAR in the global AIDS response, writing, “Progress against HIV/AIDS has been a remarkable achievement in which diverse communities worked together to apply political pressure, find funding, conduct research, and share tactics,” and “U.S. foreign assistance programs like [PEPFAR have] provided support to tens of millions of people through prevention, treatment, and care.” He continues, “As the International AIDS Conference continues this week in our nation’s capital, it is worth reflecting on the part that Bread for the World members have played in fighting AIDS through their support of U.S. foreign assistance programs like PEPFAR,” and “it provides a reminder of the importance of keeping such assistance in the federal budget” (7/25).
The U.S. Census Bureau on Monday launched an interactive global resource on the prevalence of HIV infection and AIDS cases and deaths, which contains 149,000 statistics, making it the “most complete of its kind in the world,” according to a Census Bureau press release. U.S. Global AIDS Coordinator Ambassador Eric Goosby said, “This release of the HIV/AIDS database will expand global access to data that are critical to understanding the epidemic. This information is invaluable for the evidence-based response PEPFAR is championing,” according to the press release (7/23). Also on Monday, the Humanitarian Information Unit in the U.S. Department of State’s Bureau of Intelligence and Research released two maps. The first (.pdf) depicts where PEPFAR supported HIV/AIDS programs in fiscal year 2011, and the second (.pdf) shows where PEPFAR and the Global Fund to Fight AIDS, Tuberculosis and Malaria support HIV/AIDS programs throughout the world, according to an email announcement (7/23).
RECENT RELEASE: Kaiser Family Foundation Releases Report Comparing AIDS Responses Of U.S., Other High-Income Countries
The Kaiser Family Foundation on Tuesday released a report titled, “Responding to AIDS at Home & Abroad: How the U.S. and Other High Income Countries Compare,” (.pdf) which “examines the United States’ response to HIV over the last 30 years compared to … seven other similarly situated nations — Australia, Canada, France, the Netherlands, Sweden, Switzerland and the United Kingdom,” according to the report’s webpage. “Key areas examined include governance of the national responses, the roles of affected communities and non-governmental actors, policies relating to HIV testing, prevention, care and treatment, and stigma and discrimination,” the webpage states (7/24).
Assistant Sec. Of Health Koh Addresses AIDS 2012 Plenary; HHS Sec. Sebelius Speaks At Washington Post Event
Speaking at the plenary session of the XIX International AIDS Conference (AIDS 2012) in Washington, D.C., on Monday, U.S. Assistant Secretary for Health Howard Koh discussed the development and implementation of the United States’ first-ever comprehensive National HIV/AIDS Strategy, ABC News reports. “In the U.S., the burden of HIV is not shared equally, by population or region,” Koh said, according to the news service, which adds, “Addressing HIV-related health disparities is one of three overarching goals of the U.S. National HIV/AIDS Strategy, along with reducing new infections and increasing access to HIV care.” About 50,000 new HIV infections occur in the U.S. annually, ABC notes (Duwell, 7/25). According to his speech transcript (.pdf), Koh said, “National strategies are critical to effective country leadership on HIV. National strategies outline a framework for responding to HIV/AIDS in ways that reflect each country’s unique epidemiology, disease burden, and trends. And they demonstrate the importance of country ownership and the need to maximize the efficiency and effectiveness of HIV/AIDS programs” (7/24).
Noting that President Barack Obama’s “only presence [at the XIX International AIDS Conference (AIDS 2012)] is a 50-second cameo in a three-minute video welcoming delegates,” Bloomberg reports that his “absence … has activists talking.” The news service discusses Obama’s campaign schedule, interviews advocates about his decision, and talks to policy experts regarding U.S. global AIDS funding. “Administration officials defended the president’s priorities and his attention to the issue,” Bloomberg writes, adding, “Caitlin Hayden, a spokeswoman for Obama’s National Security Council, said in an e-mail that ‘the most important metric for PEPFAR is lives saved, not dollars spent, and through smart investments we are delivering results'” (Brower, 7/25).
In this opinion piece in the Atlantic, Mark Harrington, co-founder and executive director of the Treatment Action Group (TAG), says that stronger leadership from the U.S. is needed in order to end the AIDS epidemic. Harrington notes that “earlier this year, [President Obama] proposed a shocking cut of $550 million to [PEPFAR], the most successful U.S.-funded global health program in history,” and highlights his absence from “the first International AIDS Conference to be held on American soil since … 1990.” He provides “a to do list the president should consider if he wants to walk the walk,” which includes “[f]ully fund[ing] PEPFAR and support[ing] its reauthorization in 2013,” “[f]ully support[ing] the Global Fund to Fight AIDS, Tuberculosis and Malaria,” “[r]eject[ing] the congressional ban on federal funding for needle exchange,” “[r]evis[ing] and revitaliz[ing] the National HIV/AIDS Strategy,” increasing funding for NIH, and “fully funding the research, prevention, care, and treatment” needed to end the epidemic (7/24).
“AIDS activists gathering in Washington, D.C., and Kolkata, India, this week have denounced conditions attached to U.S. global AIDS funding, which they say have damaged the response to the epidemic by further marginalizing sex workers — among those hardest hit” by the epidemic, the Guardian reports. “International organizations that receive funds through [PEPFAR] must sign an ‘anti-prostitution pledge’ prohibiting them from doing anything that could be perceived as supporting sex work,” the news service notes. According to the Guardian, “U.S. organizations that receive PEPFAR money are no longer bound by the pledge, after successfully taking the government to court on the basis that the conditions attached to funding violate first amendment rights,” but “organizations outside the U.S. are still required to sign it” (Provost, 7/25).
Jonathan Klein, board chair of Friends of the Global Fight Against AIDS, Tuberculosis and Malaria and co-founder and CEO of Getty Images, writes in a guest post on Forbes, “The U.S. government has long been the world’s most stalwart Global Fund supporter, and U.S. leadership continues to be the most effective tool in leveraging additional resources for the fight against AIDS, tuberculosis and malaria, particularly at a time when budgets are universally tight.” He notes that “[f]or every $1 invested by U.S. taxpayers, the Global Fund leverages at least $2 more from international donors. And that money translates directly into lifesaving prevention and treatment.” Klein says, “Continued U.S. leadership is essential to maintain these gains and reach our health goals. … With sustained strong support, policymakers in Washington can continue to be responsible … for the uptick in people living healthy, productive lives.” Noting that U.S. foreign aid accounts for less than one percent of the federal budget, he concludes, “But it reaps enormous rewards in generating global good will, boosting national security, saving lives and creating a safer, more stable world for all of us” (7/23).
In a feature analysis, Devex examines the history of PEPFAR, the program’s sustainability, its use of public-private partnerships, and the potential impact of the closure earlier this month of the Global Health Initiative (GHI) office. Noting that next year marks the 10-year anniversary of PEPFAR, Devex concludes, “The Obama administration’s apparent about-face on components of GHI is but one reminder that in Washington — especially as administrations come and go — ideas, initiatives, and funding often fade away all too quickly. The U.S. foreign aid industry is no exception. If PEPFAR can continue its commitment to innovation and partnership, however, visitors to the U.S. capital this week [for the International AIDS Conference] can still be hopeful over America’s leadership role in the fight against HIV/AIDS” (Troilo/Piccio, 7/23).
Bill Gates Stresses Importance Of Investment In Both HIV Treatment And Research For Vaccines, Microbicides
In a symposium session on Monday at the XIX International AIDS Conference in Washington, D.C., politicians and public health experts joined Bill & Melinda Gates Foundation Co-Chair Bill Gates for a discussion about improving effectiveness and efficiency in the HIV/AIDS response, the Washington Post reports (Brown/Botelho, 7/23). “Gates … reiterated the importance for nations and donors to support research, but also expressed support for ongoing treatment initiatives in the meantime,” according to Agence France-Presse. “No one should think that we have got the tools yet. We will get the tools but only if we stay the course in terms of the scientific investments,” Gates said, AFP notes (Sheridan, 7/23). The Washington Post adds that “[t]he main one lacking is a vaccine, but also important and missing are woman-controlled means to prevent infection, such as a vaginal microbicide” (7/23).